Refugee health-care cuts challenged in court

TORONTO - Ottawa's cutbacks to health-care coverage for refugee claimants may leave some of them dependent on the charity of provincial officials, a judge said Thursday.

Justice Anne Mactavish raised the issue on the last day of a legal challenge launched by Canadian Doctors for Refugee Care and the Canadian Association of Refugee Lawyers.

The groups argue the changes announced 18 months ago are unlawful and inhumane, and want the court to strike them down.

Government lawyers say the new rules bring health benefits for newcomers in line with what other Canadians receive, and deter those who would abuse Canada's health-care system.

They have argued refugee claimants can still access health care through other programs, including those put in place by some provinces to reinstate access to essential and emergency care.

But though Alberta, Manitoba, Saskatchewan, Nova Scotia, Quebec and Ontario have all taken steps to bridge the gap, not all offer the same level of coverage.

While Ontario has put forth a "coherent program," Mactavish said, Quebec offers assistance on an ad-hoc basis, which can leave refugee claimants dependent on the "whims" and "charity" of officials.

"Is that filling the gap?" the judge asked. And "is it humane to put people through that?"

Neeta Logsetty, one of the government lawyers, said many refugee claimants had also received donations from pharmaceutical companies and help from doctors, as well as provincial assistance.

Of those involved in the court case, "everyone got the treatment they required, at little or no cost," she told the judge.

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Refugee health-care cuts challenged in court

Health-care cuts for refugees challenged in court

TORONTO - Ottawa's cutbacks to health-care coverage for refugee claimants may leave some of them dependent on the charity of provincial officials, a judge said Thursday.

Justice Anne Mactavish raised the issue on the last day of a legal challenge launched by Canadian Doctors for Refugee Care and the Canadian Association of Refugee Lawyers.

The groups argue the changes announced 18 months ago are unlawful and inhumane, and want the court to strike them down.

Government lawyers say the new rules bring health benefits for newcomers in line with what other Canadians receive, and deter those who would abuse Canada's health-care system.

They have argued refugee claimants can still access health care through other programs, including those put in place by some provinces to reinstate access to essential and emergency care.

But though Alberta, Manitoba, Saskatchewan, Nova Scotia, Quebec and Ontario have all taken steps to bridge the gap, not all offer the same level of coverage.

While Ontario has put forth a "coherent program," Mactavish said, Quebec offers assistance on an ad-hoc basis, which can leave refugee claimants dependent on the "whims" and "charity" of officials.

"Is that filling the gap?" the judge asked. And "is it humane to put people through that?"

Neeta Logsetty, one of the government lawyers, said many refugee claimants had also received donations from pharmaceutical companies and help from doctors, as well as provincial assistance.

Of those involved in the court case, "everyone got the treatment they required, at little or no cost," she told the judge.

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Health-care cuts for refugees challenged in court

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KentuckyOne’s CEO cites health care reform as reason for layoffs

The recession has come to health care in large part because of the Affordable Care Act and the problems that it presents are not unique to KentuckyOne Health, its CEO said Wednesday.

Ruth Brinkley, president and CEO of KentuckyOne Health, said the layoffs and loss of beds her organization is facing are challenges, but patients should be able to get the medical care they need.

Brinkley spoke to The Herald-Leader's editorial board Wednesday following news this week that KentuckyOne Health, which employs 15,000 people and runs St. Joseph Hospital and St. Joseph East in Lexington, is facing a $218 million deficit and is looking at cutting staff and reducing the number of acute-care beds.

Brinkley declined Wednesday to cite specifics about staff reductions or facility cuts. However, she said that the cuts were not being made "across the board" and that each hospital in the KentuckyOne system was being looked at independently.

"We can't afford to provide every service in every location," she said.

That includes examining duplicate services at big-city providers such as Jewish Hospital & St. Mary's HealthCare and the University of Louisville Hospital in Louisville, which all joined to become KentuckyOne Health more than two years ago, along with smaller hospitals in Berea, London, Mount Sterling, Campbellsville and Bardstown.

The issues facing Kentucky One Health might be challenges to other health care providers in the state, too, said Mike Rust, president of the Kentucky Hospital Association.

"These are challenging times, and our hospitals are all feeling the pressures of declining reimbursements," he said, referring to reimbursements from the federal government for Medicare and Medicaid that are tied to the Affordable Care Act.

Layoffs and reorganizations are happening across the country, he said.

"We are seeing this from the East Coast to the West Coast."

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KentuckyOne's CEO cites health care reform as reason for layoffs

Awards recognize excellence in health care

Health care success stories happen every day in Powell River, and behind each story is a dedicated individual or team of professionals. Now is the time to recognize this care through completing a nomination for the 2014 Excellence in BC Health Care Awards.

Powell River nominations will be judged against those throughout the province and can be submitted by patients, peers and members of the public for service that improved health care delivery on the front lines and behind the scenes.

Ive always had great appreciation for people working in health care and feel it is important that they be recognized for the tremendous differences they make in the lives of others, said Terry Lake, minister of health. The Excellence in BC Health Care Awards is a great opportunity to recognize people and teams that have made an outstanding contribution to health care in BC.

Since the awards were created in 2007, 77 Gold Apples and 62 Awards of Merit have been given to health employees.

Nominations for the eighth annual awards are open until Friday, February 28. Readers can visit online, twitter or Facebook to learn more about the awards program and how to nominate. Winners will be announced at a luncheon in Vancouver on June 23.

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Awards recognize excellence in health care